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Home My WebLink AboutZ-6977FORK NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 2697.7...... Date ...............April .. 1.9.., 19..7.6 THIS CERTIFIES that the building located at .1,arline . mane .......... Street Map No. = ........ Block No. .3= .....Lot No.. x=.. Mattituck..(Laurel. Dist 11) re cement f , ozW f&m ly. del n . & Hou kng code conforms substantially to the built Before April 23 y'rj occupancy dated ....................... ... 19. . pursuant to whichCff 977. . dated ........ Ap3=.... 19... , 1970.. , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .private. one. family ,dwelling ....................................... The certificate is issued to ..William. F..&. Edna. J..Lynch .... �Zners..... ...... . ( owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ..Prow .VXIElt U19 .................. UNDERWRITERS CERTIFICATE No. .prorexist.Tagg............................ HOUSE NUMBER .............. Street .... Marline. drive..................... . ................................................................................ .. ....... ...... . Building Inspector HOUSING CODE INSPECTION April 19, 1976 #2130 Marlene La. R-1 Mattituck, N.Y. Tax Roll: William F. & Edna Lynch Unoccupied Upon request of Gary F. Olsen, Attorney, Mattituck, New York, I made an inspection of this one story framed dwelling. I picked up keys from Mil -Matt Agency, Main Road, Mattituck, New York and began this inspection at approximately 2:30 P.M. The building consists of two bedrooms, living room, full bathroom, kitchen, enclosed porch, and attached one car garage. Heat is furnished to all rooms from an oil fired warm air furnace located in full cellar of cement block foundation. The following violations of The Housing Code, Chapter 52, Town of Southold, were found: Cellar - electric hook-up to water pump - pigtail to wall outlet, no ground. Article V, Section 52-56 A.1. Cement block foundation walls slightly pushed inward resulting in open joints between second and third course of blocks on east wall; and second, third and fourth course of blocks on west wall, Article III, Section 52-30 B. - Section 52-31 A. Inspection completed at approximately 2:50 P.M. Key was returned to Mil -Matt Agency. Re pectf ly submitted, EH:mm Edward Hindermann Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date .......I..I.I. 1 ....................... New Building ................ Additi n .... .......... OId or Pre-existing Puil�ding . /..I....... Vacant Land .............. Location Of Property ...I.. ...... Owner Or Owners Of Property .... h')�.............. ...............................................`. Subdivision .......... ....Lot No ............. Block No............. House No............. Permit No ..................... Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate .................................... .. Final Certificate .....° .............................. P Fee Submitted $ ... ............................ Construction on above described building and Sworn to before me this c .�.... day of .....,v, Notary Public ...... Applicant ...... �m ets .applicable o and regulations. (stamp or seal) 7 Coun"ARY R. CURRY Notary public, State of New York No. 52.0830410 Qualified in Suffolk County Term Expires March 30, 19W / wz 3